Individual provider · Type 1 NPI

Theodore Gross

Pediatrics Physician · Fruitland, ID

NPI number 1922531508 Active

Practice location

1100 NW 12th St
Fruitland, ID 83619-5040

Call (208) 452-6556 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatrics Physician Primary 208000000XM-15894 (ID)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1922531508

Theodore Gross's National Provider Identifier is 1922531508, issued on Apr 10, 2017. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Fruitland, ID. The record was last updated on Aug 5, 2025.